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Encyclopedia > Glutaric acidemia type 1
Glutaric acidemia type 1
Classifications and external resources
ICD-10 E72.3
OMIM 231670

Glutaric acidemia type 1 (or "Glutaric Aciduria", "GA1", or "GAT1") is an inherited disorder in which the body is unable to process the amino acid lysine, hydroxylysine and tryptophan properly. Excessive levels of these amino acids and their intermediate breakdown products can accumulate and cause damage to the brain, particularly the basal ganglia, which are regions that help control movement. Mental retardation may also occur. The International Statistical Classification of Diseases and Related Health Problems (commonly known by the abbreviation ICD) provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or disease. ... The following codes are used with International Statistical Classification of Diseases and Related Health Problems. ... // E00-E35 - Endocrine diseases (E00-E07) Disorders of thyroid gland (E00) Congenital iodine-deficiency syndrome (E01) Iodine-deficiency-related thyroid disorders and allied conditions (E02) Subclinical iodine-deficiency hypothyroidism (E03) Other hypothyroidism (E030) Congenital hypothyroidism with diffuse goitre (E031) Congenital hypothyroidism without goitre (E032) Hypothyroidism due to medicaments and other... The Mendelian Inheritance in Man project is a database that catalogues all the known diseases with a genetic component, and - when possible - links them to the relevant genes in the human genome. ... The general structure of an α-amino acid molecule, with the amine group on the left and the carboxyl group on the right. ... In animals, the brain, or encephalon (Greek for in the head), is the control center of the central nervous system. ... The basal ganglia are a group of nuclei in the brain interconnected with the cerebral cortex, thalamus and brainstem. ... Mental retardation (also called mental handicap[1]) is a term for a pattern of persistently slow learning of basic motor and language skills (milestones) during childhood, and a significantly below-normal global intellectual capacity as an adult. ...


The severity of glutaric acidemia type 1 varies widely; some individuals are only mildly affected, while others have severe problems. Some babies with glutaric acidemia type 1 are born with unusually large heads (macrocephaly). Affected individuals may have difficulty moving and may experience spasms, jerking, rigidity or decreased muscle tone. Some individuals with glutaric acidemia have developed bleeding in the brain or eyes that could be mistaken for the effects of child abuse. Strict dietary control may help limit progression of the neurological damage. Stress caused by infection, fever or other demands on the body may lead to worsening of the signs and symptoms, with only partial recovery. Macrocephaly (from the greek words μακρύς, meaning long, and κεφάλη, meaning head), a type of cephalic disorder, is a condition in which the head circumference is larger than average for the age and sex of the infant or child. ... A spasm is a sudden, involuntary contraction of a muscle, a group of muscles, or a hollow organ, or a similarly sudden contraction of an orifice. ...


The condition is inherited in an autosomal recessive pattern, two copies of the gene GCDH must be mutated to cause glutaric acidemia type 1. The GCDH gene encodes the enzyme glutaryl-CoA dehydrogenase. This enzyme is involved in processing the amino acids lysine, hydroxylysine and tryptophan. Mutations in the GCDH' gene prevent production of the enzyme or result in the production of a defective enzyme that cannot function. This enzyme deficiency allows lysine, hydroxylysine and tryptophan and their intermediate breakdown products to build up to abnormal levels, especially at times when the body is under stress. The intermediate breakdown products resulting from incomplete processing of lysine, hydroxylysine and tryptophan can damage the brain. They are particularly prone to affect the basal ganglia, causing the signs and symptoms of glutaric acidemia type 1. In genetics, the term recessive gene refers to an allele that causes a phenotype (visible or detectable characteristic) that is only seen in a homozygous genotype (an organism that has two copies of the same allele). ...


Glutaric acidemia type 1 occurs in approximately 1 of every 30,000 to 40,000 births. It is much more common in the Amish community and in the Ojibway population of Canada, where up to 1 in 300 newborns may be affected. The Amish (IPA: ), are an Anabaptist Christian denomination in the United States and Ontario, Canada that are known for their plain dress and limited use of modern devices such as automobiles and electricity. ... For other uses of Chippewa, see Chippewa (disambiguation). ...


This article incorporates public domain text from The U.S. National Library of Medicine


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